Individual provider · Type 1 NPI

Ivonne Gonzalez Hermosillo

Occupational Therapist · Masonic Home, KY

NPI number 1295612083 Active

Practice location

3761 Johnson Hall Dr
Masonic Home, KY 40041-9998

Call (502) 633-1007 Map

Mailing address

90 Howard Dr
Shelbyville, KY 40065-8138

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X309141 (KY)
Occupational Therapist 225X00000XOTH-010080 (AZ)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1295612083

Ivonne Gonzalez Hermosillo's National Provider Identifier is 1295612083, issued on Aug 21, 2025. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Masonic Home, KY. The record was last updated on Jun 12, 2026.